Des Moines Cardiology, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DES MOINES CARDIOLOGY, PC

Practice address

1540 High St
Suite 102
Des Moines, IA 50309-3106

Phone

(515) 528-8186

Fax

(515) 528-8160

NPI assigned

Apr 28, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allan P Latcham, MD, FACCNPI 1932194040

Title

Owner

Phone

(515) 528-8186

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan P Latcham, M.D.

  • Cardiovascular Disease Physician
  • West Des Moines, IA
  • NPI 1932194040

  Cardiovascular Disease

  NPD (past) Authorized official
• Chelsey Ann Holcomb, PA-C

  • Physician Assistant
  • Ames, IA
  • NPI 1972882033
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1548551237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HIGH ST",
            "address_2": "SUITE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093106",
            "telephone_number": "515-528-8186",
            "fax_number": "515-528-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES CARDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "LATCHAM",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-528-8186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548551237",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britt K Deruyter, M.D.
• Ravinder K Dervesh, MD
• Tripti Dervesh, DDS
• Des Moines Anesthesia and Pain Management
• Des Moines Anesthesiologists PC
• Des Moines Dental Care, P.C.
• Des Moines Dental Group
• Des Moines Independent Community School District
• Des Moines Internal Medicine PC
• Des Moines Medical Supplies

• All providers in Des Moines, IA
• Cardiovascular Disease Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.